| Family Pratice Clinic -emmetsburg | |
|
3201 1st St Emmetsburg IA 50536-2516 | |
| (712) 852-5555 | |
| (712) 852-5560 |
| Full Name | Family Pratice Clinic -emmetsburg |
|---|---|
| Speciality | Clinic/Center |
| Location | 3201 1st St, Emmetsburg, Iowa |
| Authorized Official Name and Position | Desiree A Einsweiler (CEO) |
| Authorized Official Contact | 7128525401 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Pratice Clinic -emmetsburg 3201 1st St Emmetsburg IA 50536-2516 Ph: (712) 852-5500 | Family Pratice Clinic -emmetsburg 3201 1st St Emmetsburg IA 50536-2516 Ph: (712) 852-5555 |
| NPI Number | 1639243116 |
|---|---|
| Provider Enumeration Date | 11/17/2006 |
| Last Update Date | 12/03/2020 |
| Medicare PECOS PAC ID | 4486563061 |
|---|---|
| Medicare Enrollment ID | O20090605000576 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639243116 | NPI | - | NPPES |
| 63482 | Other | IA | WELLMARK |
| 0634857 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Mercy Internal Medicine-emmetsburg Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3201 1st St, Emmetsburg, IA 50536 Phone: 641-422-6999 | |
Family Practice Clinic-emmetsburg Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3201 1st St, Emmetsburg, IA 50536 Phone: 712-852-5555 Fax: 712-852-5560 |